Aim100Nutrition, LLC
Organization Active NPI Naturopath · Manchester, CT
NPI 1407175706 · NPPES record last updated May 26, 2010
Key facts
- NPI
- 1407175706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Naturopath 175F00000X
- Legal business name
- AIM100NUTRITION, LLC
- Practice address
- 272 Main St
Manchester, CT 06042-3536 - Phone
- (860) 649-6944
- NPI assigned
- May 26, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Patrick Dorvilus, M.D.
- Title
- Medical Director
- Phone
- (860) 649-6944
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath |
175F00000X | Yes |
Addresses
Primary practice location
272 Main St
Manchester, CT 06042-3536
Mailing address
272 Main St
Manchester, CT 06042-3536
Phone (860) 649-6944
Other names
- AIM100NUTRITION.COM
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.